| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
511 |
237 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,073 |
950 |
$79K |
| 11057 |
|
2,969 |
2,896 |
$66K |
| 11730 |
|
1,950 |
1,891 |
$56K |
| 11721 |
|
2,908 |
2,823 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,874 |
1,673 |
$41K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
118 |
112 |
$8K |
| 11732 |
|
522 |
507 |
$7K |
| 99348 |
|
75 |
70 |
$3K |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
197 |
95 |
$2K |
| 29540 |
|
135 |
118 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
54 |
$654.29 |